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Applicability of the ICF-CY to describe functioning and environment of children with disabilities
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
2012 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The aim of the thesis, with four empirical studies, was to explore the applicability of the International Classification of Functioning, Disability and Health, version for children and youth (ICF-CY) to describe functioning and environment of children with disabilities. The components and categories in the ICF-CY were explored by studying items in ICF-CY based questionnaires in studies I and II and by linking texts of individual habilitation plans to the ICF-CY in studies III and IV. Professionals’ perceptions of the applicability of the ICF-CY and the ICFCY questionnaire were investigated in study II. In study IV changes in focus on ICF-CY components in documentation of individual habilitation plans were explored after in-service training in the ICF-CY. Studies I and II found variations in ratings of questionnaire items based on the performance qualifier in component Activities and participation. The variations may be explained by the context in which ratings were made and by expectations and perceptions of those who made ratings. The results indicated challenges in constructing universal measures of the performance qualifier. The studies also indicated limitations in the use of items based on Environmental factors, when used separately from items in Activities and participation. Studies II and III found that the categories in the components Body functions and Activities and participation were interrelated. Study III indicated challenges in describing family situation and children’s psychosocial environment in the Environmental factors. In study II the professionals described advantages and challenges in the use of the ICFCY and suggested necessary changes to the ICF-CY questionnaire. Study IV found that the professionals in child and youth habilitation described children’s functioning more precisely and in more detail after in-service training. Overall, the results suggest both advantages and challenges of the ICFCY when used to describe functioning and environment of children with disabilities. The results call for a need of a combined use of the categories from all the ICF-CY the components.

Place, publisher, year, edition, pages
Örebro: Örebro universitet , 2012. , 83 p.
Series
Studies from The Swedish Institute for Disability Research, ISSN 1650-1128 ; 41
Keyword [en]
ICF-CY, children with disabilities, classification, functioning, environment, functional approach
National Category
Social Work
Research subject
Disability Research
Identifiers
URN: urn:nbn:se:oru:diva-22591ISBN: 978-91-7668-864-9 OAI: oai:DiVA.org:oru-22591DiVA: diva2:516685
Public defence
2012-05-25, Sal Kappa, Mälardalens högskola, Västerås, 13:00 (English)
Opponent
Supervisors
Available from: 2012-04-19 Created: 2012-04-19 Last updated: 2012-09-24Bibliographically approved
List of papers
1. The utility of ICF for describing interaction in non-speaking children with disabilities: caregiver ratings and perceptions
Open this publication in new window or tab >>The utility of ICF for describing interaction in non-speaking children with disabilities: caregiver ratings and perceptions
2007 (English)In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 29, no 22, 1689-1700 p.Article in journal (Refereed) Published
Abstract [en]

PURPOSE: The purpose of the study is to explore the utility of the International Classification of Functioning, Disability and Health (ICF) when assessing caregivers' perceptions of interaction and factors related to interaction in non-speaking children with disability.

METHOD: A questionnaire with focus on interaction and related factors was constructed by linking questions in existing instruments to ICF and was completed by 208 professionals and parents of 195 non-speaking children with disabilities in Russia. Caregivers' descriptions of interaction in open-ended questions were qualitatively analysed and compared to selected caregivers' ratings of children's functioning and environment in the questionnaire based on ICF.

RESULTS: In the open-ended questions about interaction the caregivers described modes of communication children used, situations in which interactions took place, positive and negative aspects of interactions. Thirty eight respondents described interaction with children negatively, 66 neutrally, and 76 positively. Statistical analyses revealed significant differences among the three groups of respondents concerning their ratings of children's functioning and environment in the ICF-based questionnaire.

CONCLUSIONS: The ICF-related items in the questionnaire corresponded to caregivers' perceptions of interaction, which shows their relevance for the description of interactions. ICF is feasible in describing of interaction and interaction-related factors in non-speaking children with disabilities in Russia.

Place, publisher, year, edition, pages
Informa Healthcare, 2007
Keyword
ICF-CY, communication, interaction, non-speaking children with disabilities
National Category
Social Work
Research subject
Disability Research
Identifiers
urn:nbn:se:oru:diva-22664 (URN)10.1080/09638280601056186 (DOI)17852237 (PubMedID)
Available from: 2012-04-25 Created: 2012-04-25 Last updated: 2012-05-31Bibliographically approved
2. Field trial of ICF version for children and youth (ICF-CY) in Sweden: logical coherence, developmental issues and clinical use
Open this publication in new window or tab >>Field trial of ICF version for children and youth (ICF-CY) in Sweden: logical coherence, developmental issues and clinical use
2009 (English)In: Developmental Neurorehabilitation, ISSN 1751-8423, Vol. 12, no 1, 3-11 p.Article in journal (Refereed) Published
Abstract [en]

Introduction: For ICF-CY to be used in clinical practice several issues have to be resolved concerning the logical coherence in the model, developmental and functional issues as well as clinical feasibility. Purpose: The aim is to investigate feasibility of ICF-CY as expressed by ICF-CY questionnaires in assessment prior to intervention. 

Methods: One hundred and thirty-nine professionals working with intervention for children with disabilities used ICF-CY questionnaires in assessment. The professionals rated and commented on the feasibility of ICF-CY and ICF-CY questionnaire. Logical coherence, developmental issues and clinical use were investigated. 

Results: The logical coherence on component level was good (KMO = 0.126, p<0.005). To investigate developmental and functional issues in the model children, four age groups were compared with the help of one-way ANOVA. Significant differences were found between children younger than 3 and children 3-6 and 7-12 in four chapters in the component Activities/Participation. Professionals consider that ICF-CY is feasible in intervention but experience difficulties when using the components and qualifiers in the ICF-CY and suggest changes. 

Discussion: ICF-CY as expressed in ICF-CY questionnaires is a feasible tool in assessment and intervention. However, several issues can be developed and discussed to facilitate implementation of ICF-CY in clinical practice.

Place, publisher, year, edition, pages
Informa Healthcare, 2009
National Category
Social Work
Research subject
Disability Research
Identifiers
urn:nbn:se:oru:diva-22668 (URN)10.1080/17518420902777001 (DOI)000207787600002 ()19283529 (PubMedID)
Available from: 2012-04-25 Created: 2012-04-25 Last updated: 2012-04-26Bibliographically approved
3. Using content analysis to link texts on assessment and intervention to the international classification of functioning, disability and health: version for children and youth (ICF-CY)
Open this publication in new window or tab >>Using content analysis to link texts on assessment and intervention to the international classification of functioning, disability and health: version for children and youth (ICF-CY)
Show others...
2011 (English)In: Journal of Rehabilitation Medicine, ISSN 1650-1977, Vol. 43, no 8, 728-733 p.Article in journal (Refereed) Published
Abstract [en]

Objective: To explore how content analysis can be used together with linking rules to link texts on assessment and intervention to the International Classification of Functioning, Disability and Health – version for children and youth (ICF-CY).

Methods: Individual habilitation plans containing texts on assessment and intervention for children with disabilities and their families were linked to the ICF-CY using content analysis. Texts were first divided into meaning units in order to extract meaningful concepts. Meaningful concepts that were difficult to link to ICF-CY codes were grouped, and coding schemes with critical attributes were developed. Meaningful concepts that could not be linked to the ICF-CY were assigned to the categories “not-definable” and “not-covered”, using coding schemes with mutually exclusive categories.

Results: The size of the meaning units selected resulted in different numbers and contents of meaningful concepts. Coding schemes with critical attributes of ICF-CY codes facilitated the linking of meaningful concepts to the most appropriate ICF-CY codes. Coding schemes with mutually exclusive categories facilitated the classification of meaningful concepts that could or could not be linked to the ICF-CY.

Conclusion: Content analysis techniques can be applied together with linking rules in order to link texts on assessment and intervention to the ICF-CY.

Place, publisher, year, edition, pages
Foundation of Rehabilitation Information, 2011
Keyword
documentation, assessment, intervention, ICF-CY, children, disabilities
National Category
Social Work
Research subject
Disability Research
Identifiers
urn:nbn:se:oru:diva-22669 (URN)10.2340/16501977-0831 (DOI)000293314100011 ()21732007 (PubMedID)
Available from: 2012-04-25 Created: 2012-04-25 Last updated: 2012-04-26Bibliographically approved
4. Changes in individual habilitation plans after in-service training in International classificationof functioning, disability and health, version for children and youth (ICF-CY): a document analysis
Open this publication in new window or tab >>Changes in individual habilitation plans after in-service training in International classificationof functioning, disability and health, version for children and youth (ICF-CY): a document analysis
(English)Manuscript (preprint) (Other academic)
National Category
Social Work
Research subject
Disability Research
Identifiers
urn:nbn:se:oru:diva-22670 (URN)
Note
Submitted to Clinical RehabilitationAvailable from: 2012-04-25 Created: 2012-04-25 Last updated: 2012-05-31Bibliographically approved

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